Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $206.40 / $276.60	Facility		$50.50	$206.40	$276.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $332.00	Professional		$38.00	$50.50	$332.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $637.59 / $1,440.00	Professional		$80.00	$637.59	$1,440.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $139.00 / $183.54	Professional		$108.00	$139.00	$183.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.51 / $137.51 / $137.51	Professional		$137.51	$137.51	$137.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $156.00 / $203.61	Facility		$117.00	$156.00	$203.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $80.31 / $80.31	Professional		$80.31	$80.31	$80.31